Empowering Others- 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills and allow you to make positive suggestions for improvement.

Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. If you have any questions about the process please contact [Contact Person].

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team



Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.

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Empowering Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is aware of the skill levels of employees and assigns tasks that are at the appropriate skill level.
Gives employees autonomy to complete tasks on their own.
Establishes goals that allow employees top operate independently in the field.
Gives responsibility for making important decisions to employees.
Allows employees to take ownership of their work.
Delegation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Defines the roles, responsibilities, required actions, and deadlines for team members.
Is flexible and adjusts delegation strategies based on results and employee response.
Conducts regular task audits to identify opportunities for delegation.
Assesses both technical skills and soft skills to ensure effective delegation.
Understands each employee's strengths and weaknesses to know what tasks should be assigned or delegated.
Juggling Multiple Responsibilities	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Builds in extra time in the schedule for unplanned events/occurrences.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Begins tasks as soon as possible.
Ensures that assignments are prioritized according to the needs of the department/company.
Switches attention to more urgent tasks when necessary.
Technology Use/Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adopts the implementation of new technology into the workplace.
Applies complex rules and regulations to maintain optimal system performance.
Supports employee training and development initiatives regarding implementation of technology.
Understands and is committed to implementing new technologies.
Uses technology in decision making and problem solving.
Interpersonal Skills	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Assists those in the department who need help in meeting performance metrics.
Attends to both the content and the context of what was being said.
Effectively manages conflicts by dealing with them directly and immediately
Strives for win/win solutions
Honesty and integrity are core tenets of interpersonal relationships.
Recognition	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Offers recognition to peers and colleagues.
Gives recognition immediately after employees achieve certain levels of performance.
Integrates recognition programs into larger employee development initiatives.
Recognizes when the team excels on a project or reaches a major milestone.
Recognizes employees through public announcements or progress boards in common areas.
Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Attends to the customer's needs in addition to the specific needs of the project.
Accepts responsibility for ensuring customer satisfaction.
Provides a high level of service to customers.
Acts with integrity in all customer interactions.
Ensures commitments made to customers are completed to the customer's satisfaction.
Coaching	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Shows employees their development needs
Understands and respects the employee's unique perspective and challenges.
Encourages employees to reflect on their experiences, behaviors, and decisions.
Develops subordinates.
Is empathetic to the current workload and situation that the employee may be experiencing.
Quality	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Leads others to adopt excellent quality standards and practices.
Ensures the hiring of employees that have a quality focus.
Develops processes to enhance quality standards.
Quickly identifies critical issues impacting quality.
Makes sure cleanliness standards are met to reduce the possibility of contamination.
Entrepreneurship	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Can work effectively in an environment of uncertainty.
Excellent at managing relationships with stakeholders.
Maintains a high level of energy to respond to demands of the job.
Takes the initiative to complete tasks.
Encourages dynamic growth opportunities.

51. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




52. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
53. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?
    
    
    
54. What changes do you see [Company] making in order to raise the standards?
    
    
    
55. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
56. What do you like best about working for [Company]?
    
    
    
57. What do you like least about working for [Company]? How could it be improved?
    
    
    
93. Use the space below to enter any final comments you would like to be noted: